Silvia Salamanca
Studio City
Summary
Dynamic Revenue Cycle Specialist with a proven track record at Cedar's Sinai Medical Center, who is equipped with strong problem-solving abilities, willingness to learn, and excellent communication skills. Poised to contribute to team success and achieve positive results. Ready to tackle new challenges and advance organizational objectives with dedication and enthusiasm.
Overview
14
14
years of professional experience
Work History
Revenue Cycle Specialist II
Cedar's Sinai Medical Center
04.2023 - Current
- Conduct research and prepare HB & PB open audit responses for multiple audit types (TPE, non-TPE, RAC, CERT) to Medicare
- Utilize multiple government portals to monitor statuses of open audits
- Assist management in running end of the month open audit Reports
- Communicate with different levels of management, departments, and teams
- Provide training to new hires
- Monitor trends
Revenue Cycle Specialist II
Cedar's Sinai Medical Center
04.2016 - 03.2023
- Increased revenue by identifying and resolving billing errors in a timely manner.
- Ensured accurate billing with thorough audits of patient accounts and insurance claims.
- Reached out to insurance companies to verify coverage.
- Achieved optimal reimbursement rates by verifying insurance coverage, eligibility, benefits, and authorization prior to service delivery.
Charge Capture Specialist
Cedar's Sinai Medical Center
04.2011 - 04.2016
- Enhanced revenue cycle management processes through diligent charge entry and reconciliation tasks.
- Reviewed billing sheets to obtain daily service charges.
- Improved charge capture accuracy by meticulously reviewing medical records and identifying missing charges.
- Collaborated with clinical staff to ensure accurate documentation of services provided for proper billing.
Education
Finance Extension
Los Angeles, CA06-2000
Skills
- Claims review
- Claims processing proficiency
- HIPAA compliance
- Professionalism and ethics
Languages
Spanish
Native or Bilingual
Timeline
Revenue Cycle Specialist II
Cedar's Sinai Medical Center
04.2023 - Current
Revenue Cycle Specialist II
Cedar's Sinai Medical Center
04.2016 - 03.2023
Charge Capture Specialist
Cedar's Sinai Medical Center
04.2011 - 04.2016
Finance Extension
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